Evidence map›Paper›PMID 37244916›Full record

ArticleNature communications2023

Generation of a mutator parasite to drive resistome discovery in Plasmodium falciparum.

Krittikorn Kümpornsin, Theerarat Kochakarn, Tomas Yeo, John Okombo, Madeline R Luth, Johanna Hoshizaki, Mukul Rawat, Richard D Pearson, Kyra A Schindler, Sachel Mok and 15 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
11.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 40 citations in OpenAlex.

  1. Unpacking boxes: identification of novel inhibitors of malaria parasite invasion.International journal for parasitology. Drugs and drug resistance · 2026
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  8. High throughput quantitative tracking ofbioRxiv : the preprint server for biology · 2026
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  13. Microbiology spectrum · 2025
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  14. Article
  15. Review
  16. Fungal-derived methyldeoxaphomins targetProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors at 10 institutions in 7 countries.

Krittikorn KümpornsinWellcome Sanger Institute, Wellcome Genome Campus, Hinxton, UK.
Theerarat KochakarnThe Laboratory for Molecular Infection Medicine Sweden and Department of Molecular Biology, Umeå University, Umeå, Sweden.
Tomas YeoDepartment of Microbiology and Immunology, Columbia University Irving Medical Center, New York, NY, USA.ORCID 0000-0003-2923-6060
John OkomboDepartment of Microbiology and Immunology, Columbia University Irving Medical Center, New York, NY, USA.ORCID 0000-0001-8680-2351
Madeline R LuthDepartment of Pediatrics, School of Medicine, University of California, San Diego, La Jolla, CA, USA.
Johanna HoshizakiWellcome Sanger Institute, Wellcome Genome Campus, Hinxton, UK.ORCID 0000-0002-0365-3950
Mukul RawatWellcome Sanger Institute, Wellcome Genome Campus, Hinxton, UK.
Richard D PearsonWellcome Sanger Institute, Wellcome Genome Campus, Hinxton, UK.ORCID 0000-0002-7386-3566
Kyra A SchindlerDepartment of Microbiology and Immunology, Columbia University Irving Medical Center, New York, NY, USA.ORCID 0000-0002-4406-9160
Sachel MokDepartment of Microbiology and Immunology, Columbia University Irving Medical Center, New York, NY, USA.ORCID 0000-0002-9605-0154
Heekuk ParkDivision of Infectious Diseases, Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.ORCID 0000-0001-5815-9717
Anne-Catrin UhlemannCenter for Malaria Therapeutics and Antimicrobial Resistance, Division of Infectious Diseases, Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.ORCID 0000-0002-9798-4768
Gouranga P JanaTCG Lifesciences Private Limited, Salt-lake Electronics Complex, Kolkata, India.
Bikash C MaityTCG Lifesciences Private Limited, Salt-lake Electronics Complex, Kolkata, India.
Benoît LaleuMedicines for Malaria Venture, International Centre Cointrin, Geneva, Switzerland.ORCID 0000-0002-7530-2113
Elodie ChenuMedicines for Malaria Venture, International Centre Cointrin, Geneva, Switzerland.
James DuffyMedicines for Malaria Venture, International Centre Cointrin, Geneva, Switzerland.
Sonia Moliner CubelGlobal Health Medicines R&D, GlaxoSmithKline, Tres Cantos, Madrid, Spain.
Virginia FrancoGlobal Health Medicines R&D, GlaxoSmithKline, Tres Cantos, Madrid, Spain.
Maria G Gomez-LorenzoGlobal Health Medicines R&D, GlaxoSmithKline, Tres Cantos, Madrid, Spain.ORCID 0000-0003-2065-1145
Francisco Javier GamoGlobal Health Medicines R&D, GlaxoSmithKline, Tres Cantos, Madrid, Spain.ORCID 0000-0002-1854-2882
Elizabeth A WinzelerDepartment of Pediatrics, School of Medicine, University of California, San Diego, La Jolla, CA, USA.
David A FidockDepartment of Microbiology and Immunology, Columbia University Irving Medical Center, New York, NY, USA.ORCID 0000-0001-6753-8938
Thanat ChookajornThe Laboratory for Molecular Infection Medicine Sweden and Department of Molecular Biology, Umeå University, Umeå, Sweden.
Marcus C S LeeWellcome Sanger Institute, Wellcome Genome Campus, Hinxton, UK. mlee001@dundee.ac.uk.ORCID 0000-0002-4973-0915
Columbia University Irving Medical Center · USGlaxoSmithKline (Spain) · ESMedicines for Malaria Venture · CHWellcome Sanger Institute · GBTCG Lifesciences (India) · INUniversity of California San Diego · USMahidol University · THScripps Research Institute · USUmeå University · SEUniversity of Dundee · GB

Funding

Wellcome Trust 206194/Z/17/Z
6 · The paper itself

Abstract

In vitro evolution of drug resistance is a powerful approach for identifying antimalarial targets, however, key obstacles to eliciting resistance are the parasite inoculum size and mutation rate. Here we sought to increase parasite genetic diversity to potentiate resistance selections by editing catalytic residues of Plasmodium falciparum DNA polymerase δ. Mutation accumulation assays reveal a ~5-8 fold elevation in the mutation rate, with an increase of 13-28 fold in drug-pressured lines. Upon challenge with the spiroindolone PfATP4-inhibitor KAE609, high-level resistance is obtained more rapidly and at lower inocula than wild-type parasites. Selections also yield mutants with resistance to an "irresistible" compound, MMV665794 that failed to yield resistance with other strains. We validate mutations in a previously uncharacterised gene, PF3D7_1359900, which we term quinoxaline resistance protein (QRP1), as causal for resistance to MMV665794 and a panel of quinoxaline analogues. The increased genetic repertoire available to this "mutator" parasite can be leveraged to drive P. falciparum resistome discovery.

Indexed as

AntimalarialsMalaria, FalciparumParasitesAnimalsDrug ResistanceMutationPlasmodium falciparumProtozoan ProteinsAntimalarialsProtozoan Proteins

Identifiers

PMID37244916
PMCPMC10224993
OpenAlexW4378532912

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.